<div class="my-container" style="margin-top: 60px">
    <p class="text-center" style="color:#ff9900;font-size: 16px;margin-bottom: 10px">请确定你的信息是真实有效的</p>

    <form role="form">
        <div class="form-group edit-info">
            <label for="true_name">真实姓名</label>
            <input type="text" class="form-control" id="true_name" name="true_name" value="" placeholder="">
        </div>
        <div class="form-group edit-info">
            <label for="passport">护照号</label>
            <input type="text" class="form-control" id="passport" value="" name="passport" placeholder="">
        </div>
        <div class="form-group edit-info">
            <label for="identity_card">身份证号</label>
            <input type="text" class="form-control" id="identity_card" name="identity_card" value="" placeholder="">
        </div>
        <div class="text-center upload-box">
            <div class="icon-camera"><img src="images/icon-camera.png" alt=""/> 上传证件照片</div>
            <input type="file" class="upload"/>
        </div>
        <div class="text-center form-group"><p>照片样例如下：</p><img src="images/renzheng.png" alt="" width="50%"/></div>
        <div class="form-group text-center">
            <p class="ren-title">认证材料</p>
            <a class="btn btn-student btn-info" id="student">在校大学生</a>
            <a class="btn" id="worker">在职人员</a>
        </div>
        <div class="form-group">
            <div class="proof" id="student-info">
                <p>学信网证明 <a href="javascript:void(0);">(学籍在线验证报告?)</a></p>

                <div class="text-right proof-upload">
                    <a href="javascript:void(0);" class="btn btn-info">上传报告</a>
                    <input type="file" class="proof-file"/>
                </div>
                <div class="proof-contact">
                    <p>紧急联系人（至少填写两位紧急联系人）:</p>

                    <p><label><input type="checkbox" class="proof-check"/> 父亲</label></p>

                    <p class="proof-int"><input type="text" placeholder="姓名"/><input type="text" placeholder="手机号"/></p>

                    <p><label><input type="checkbox" class="proof-check"/> 母亲</label></p>

                    <p class="proof-int"><input type="text" placeholder="姓名"/><input type="text" placeholder="手机号"/></p>

                    <p><label><input type="checkbox" class="proof-check"/> 辅导员/班主任</label></p>

                    <p class="proof-int"><input type="text" placeholder="姓名"/><input type="text" placeholder="手机号"/></p>

                    <p><label><input type="checkbox" class="proof-check"/> 室友/其它</label></p>

                    <p class="proof-int"><input type="text" placeholder="姓名"/><input type="text" placeholder="手机号"/></p>

                    <p>QQ号 (用于视频验证)</p>

                    <p class="proof-int"><input type="text" placeholder="QQ" style="width: 100%"/></p>
                </div>
            </div>
            <div class="proof" id="worker-info" style="display: none;">
                <p class="proof-p">劳动合同或工作证明</p>

                <div class="text-center upload-box">
                    <div class="icon-camera"><img src="images/icon-camera.png" alt=""/> 上传证件照片</div>
                    <input type="file" class="upload"/>
                </div>
                <p class="proof-p">工资卡银行流水(常用银行卡/存折连续3个月的流水明细)</p>

                <div class="text-center upload-box">
                    <div class="icon-camera"><img src="images/icon-camera.png" alt=""/> 上传证件照片</div>
                    <input type="file" class="upload"/>
                </div>
                <p class="proof-p">个人信用报告</p>

                <div class="text-center upload-box">
                    <div class="icon-camera"><img src="images/icon-camera.png" alt=""/> 上传证件照片</div>
                    <input type="file" class="upload"/>
                </div>
                <p>QQ号 (用于视频验证)</p>

                <p class="proof-qq"><input type="text" placeholder="QQ" style="width: 100%"/></p>
            </div>
        </div>

        <button type="submit" class="btn btn-warning btn-block" style="height: 40px">提交</button>
    </form>
</div>

